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the task here in washington is going to be very difficult to convince her u.s. government to change the way it has done business for 30 years because a lot of the strategic and current imperatives drive our security. how do you actually play the right role of engaging your? it's not naƏvely giving money to liberal groups and things like this are not having a strategy. i do believe that this is a significant test inside of egypt. it's an encouraging sign, and i think, this is my prediction and were rob and others may disagree, is that it's going to force islamist political parties at least elements of the to change their ideology, if the system remains open and that's the big if, if there's a big debate i don't see it going backwards in terms of the diversity we see in egypt as large as it is it's hard for me to imagine that going backwards. >> okay, we are going to move to our closing remarks and we're going to go in reverse order, so bret, you can have two minutes to make a final plea. >> yeah, in 1979 jean kirkpatrick wrote an influential article, dictatorships and double standards, in w
with statistics that the u.s. spends significantly more percentage of gnp on health care than any other developed country. we hear that continuously. what i was surprised to hear at a recent conference was exactly the reverse is true when it comes to social support spending for lower income groups for seniors and people with disabilities or things like this. which raises the question in my mind would it be better for us to rebalance our spending in this direction to provide better quality by providing support services that allow people to stay in their homes functioning well instead of institutionalizing them which is very expensive. >> we need to figure out how to spend more sensibly and efficiently in health care no matter what else happens because it makes no sense. we know it can be done in a smarter way. the question about how and how much kind of support structure is a very large one. i will say that most, not all, most of the people who are now institutionalized in long-term care and other settings are there because they have multiple dependencies that are difficult to treat outside. most
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